Year 2024 / Volume 116 / Number 8
Digestive Diseases Image
Traumatic biliary fistula with bile duct disconnection

438-439

DOI: 10.17235/reed.2024.10096/2023

Qingcheng Xu, Denghao Deng, Fei Cao,

Abstract
A 43-year-old man was admitted to our department for accident. Computed tomography (CT) scan revealed low-density shadows in the hepatogastric and peripancreatic space. The patient still has abdominal pain after the performation of CT-guided abdominal puncture and drainage. Magnetic Resonance Cholangiopancreatography (MRCP) showed that the middle and lower segments of common bile duct were stricture and truncature. Endoscopic bile duct catheterization and drainage showed that the lower segment was dislocated and disconnected. Then the doctor used the balloon and contrast agent to pressurize, and at the same time, the distal common bile duct was pulled by the mirror, trying to straighten the common bile duct, changing its axial direction, and try to bridge it repeatedly by using the guide wire of misgurnus anguillicaudatus. The patient significantly improved over the next 3 days. After 11 months of follow-up, the patient came to our hospital to remove the biliary stent,and has no abdominal pain anymore.
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Xu Q, Deng D, Cao F. Traumatic biliary fistula with bile duct disconnection. 10096/2023


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Publication history

Received: 17/11/2023

Accepted: 06/12/2023

Online First: 11/01/2024

Published: 01/08/2024

Article Online First time: 55 days

Article editing time: 258 days


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